MEIJER PHARMACY #160
NPI 1619163342
Pharmacy - Community/Retail Pharmacy in Louisville, KY

Q: What is Meijer Great Lakes Limited Partnership's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 17, 2007CLIA 18D1019224 · Waiver

4500 S HURSTBOURNE PKWY, LOUISVILLE, KY 40299(502) 493-4910(502) 493-4965 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Meijer Pharmacy #160 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEIJER PHARMACY #160 (NPI 1619163342) is a healthcare organization registered as a community/retail pharmacy in Louisville, Kentucky and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Jason Beauch, Director Of Pharmacy Managed Care, as its authorized official.

NPPES Registry Identity

NPI1619163342

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEIJER GREAT LAKES LIMITED PARTNERSHIP

Location Address4500 S HURSTBOURNE PKWYLouisville, KY 40299-6376

Mailing Address2929 Walker Ave NwGrand Rapids, MI 49544-9424 · (616) 791-3169 · Fax (616) 735-8532

Phone(502) 493-4910

Fax(502) 493-4965

Organization SubpartNo

Authorized OfficialJason BeauchDirector Of Pharmacy Managed Care · (616) 791-3169

Enumeration DateSeptember 17, 2007

Last NPPES UpdateMarch 24, 2014

✔ NPI 1619163342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in KY · P06541

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License P06541 (KY)

4500 S HURSTBOURNE PKWY, Louisville, KY 40299

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Other Names 1

Doing Business AsMeijer Pharmacy #160

Other Identifiers 3

Medicare PINK075940KY

Medicare NSC6507510008KY

Medicaid7100211740KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1019224

Meijer Pharmacy #160 · Louisville, KY

Active · expires Nov 12, 2027

CLIA Number18D1019224

Laboratory TypePharmacy

Certificate Effective DateNovember 13, 2025

Certificate Expiration DateNovember 12, 2027

Laboratory DirectorMs. Jacqueline Morse

Laboratory Phone(502) 493-4910

Laboratory LocationMeijer Pharmacy #1604500 Hurstbourne Pkwy, Louisville, KY 40299

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

301 services297 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

291 services291 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

176 services176 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Meijer Pharmacy #160 carries, from the Medicare DMEPOS supplier directory.

Meijer Pharmacy #160

DMEPOS supplier · Louisville, KYOperated by Meijer Great Lakes Limited Partnership

⋮

Does not accept Medicare assignment

Meijer Pharmacy #160 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20312681

Medicare Participant SinceJanuary 1, 2023

Supplier Location4500 Hurstbourne ParkwayLouisville, KY 40299

Phone(502) 493-4910

Supplier Specialties

Pharmacy Department Store Grocery Store

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROSS ALAN KUSHNER RPH

Pharmacist

4500 S HURSTBOURNE PKWY
LOUISVILLE, KY 40299

Jefferson County (502) 493-4910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meijer Great Lakes Limited Partnership's NPI number?

The NPI number for Meijer Great Lakes Limited Partnership is 1619163342. It was assigned to this organization in the NPPES registry on September 17, 2007. The provider is doing business as Meijer Pharmacy #160.

Where is Meijer Great Lakes Limited Partnership located?

Meijer Great Lakes Limited Partnership is located at 4500 S Hurstbourne Pkwy, Louisville, KY 40299. The listed phone number is (502) 493-4910.

What is Meijer Great Lakes Limited Partnership's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Meijer Great Lakes Limited Partnership accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Meijer Pharmacy #160 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Meijer Great Lakes Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1019224) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Meijer Great Lakes Limited Partnership accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Meijer Great Lakes Limited Partnership as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meijer Great Lakes Limited Partnership was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.